. Bauchhernie : seine Diagnose und Behandlung. Ine. Die Richtung des Verschlusses sollte in der Linie des geringsten Widerstands liegen und die Kanten sollten overla[)ped sein, wenn möglich. Der Abdomen sollte in jedem Fall eingegeben werden, um eventuell vorhandene Adhäsionen zu befreien. Persönlich habe ich nicht gefunden, dass notwendig, aber sicherlich würde nicht zögern, dies zu tun, wenn im geringsten Zweifel an völlig befreit alle Adhäsionspressent. Traumatische Ventralhernie. – Wenn wir von traumatikventraler Hernie sprechen, haben wir Bezug auf Hernie, die eine Form von Verletzung an der Bauchwand einlässt. Die fnjur> kann inthe Form gewesen sein

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. Abdominal hernia : its diagnosis and treatment. ine. The direction of closure should be in the lineof least resistance and the edges should be overla[)ped if pos-sible. The abdomen should be entered in every case in orderto free adhesions that may exist. Personally I have not foundthat necessan, , but certainly would not hesitate to do so if inthe least doubt about having fully liberated any adhesionspresent. Traumatic Ventral Hernia.—When we speak of traumaticventral hernia we have reference to hernia fallowing some formof injury to the abdominal wall. The fnjur> may have been inthe form of an abscess or a blow, but it comes far more fre- VENTRAL HERNIA. 387 quently from some incisive wound whicli has divided themuscular fibre. In the authors early experience, shortly after the CivilWar, several cases of this type were seen which resulted fromstab wounds usually inflicted by the bayonet. These caseswere, so far as seen, all small protrusions which were easilycontrolled by simple mechanical supports. The experience of Fig. 212.. Post-operalive ventral hernia, alter six nperations for cure. Wuiikhi ^i jearsold. Originaloperation was ovariotomy. recent years, however, has been with ventral herniffi of quite adifferent type, enormous in size and extremely difficult to con-trol. They have followed the line of the surgeons knife inincisions of the abdominal wall. A very common form of thishernia is shown in fig. 212. The woman there shown was at thetime of this photograph only thirty-four years old. Her orig-inal operation was for an ovariotomy, the reason for whichcould never be ascertained. Following apparent recovery anabdominal abscess formed and rec^uired evacuation. On recov- 388 ABDOMINAL HERNIA. ery from this tlie woman became enormously fat and the hernia, which had been present from tlie first, increased to a size equalto that of lier head. Four successive attempts to cure thehernia failed owing to lack of material with which to close theenormous opening p

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• bookcentury1900
• bookdecade1900
• bookpublisher
• booksubjecthernia